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                <title>Prelevement des actifs</title>
                <script src="javascript/prelevement.js" type="text/javascript"></script>
                <script src="javascript/json2.js" type="text/javascript"></script>
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      <div id="branding">
                   <h2>Prelevement</h2>
         <!--a href="help.html"><img src="images/help_icon.png" class="help_link" ></a-->
      </div>
      <div id="navagation"></div>
      <div id="main_content">
                   <form name="saisie_prelev">
                                <label>Actif </label?<input type="radio" name="prelev_type" value="actif" onclick="config_prelev_type('actif')"/>
                                <label>Retrait&eacute; </label><input type="radio" name="prelev_type" value="retraite" onclick="config_prelev_type('retraite')"/>
                                   <label>Mois: </label>
                                           <select id="liste_mois">
                                                   <option value="01">JAN</option>
                                                   <option value="02">FEV</option>
                                                   <option value="03">MAR</option>
                                                   <option value="04">AVR</option>
                                                   <option value="05">MAI</option>
                                                   <option value="06">JUN</option>
                                                   <option value="07">JUL</option>
                                                   <option value="08">AOU</option>
                                                   <option value="09">SEP</option>
                                                   <option value="10">OCT</option>
                                                   <option value="11">NOV</option>
                                                   <option value="12">DEC</option>
                                           </select><br/>
                                   </h3>
                           <p>Cotisation standard: <input type="text" id="cotiz_std"/> EUR.</p>
                      <p id="cotizSpecific">
                              <span id="marqueur_specific">Cotisation (specifique): <!--input type="text" id="spec_01_cotiz"/> EUR, Association Dept.: <input type="text" id="spec_01_ad" /--> <img alt="+" src="images/add.gif" onclick="ajoutLigneSaisie()"/></span>
                      </p>
                      <p id="validation">
                              <input type="button" value="Creer le fichier de prelevement" onclick="validationFormulaire()" />
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              </form>
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      <script>init()</script>
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